Whether you have hemorrhoids or prolapsed anus can be determined from the size and shape of the prolapse, its texture and color, whether it is bleeding and painful. 1. The size and shape of the prolapse: hemorrhoids are relatively small and granular, one by one; prolapsed anus has a larger prolapse, in the form of a ring-shaped column. 2. texture and color: hemorrhoids if the internal hemorrhoid prolapse, usually mucous membrane, and the texture is relatively soft, the color is purplish red, dark; prolapse of the anus is the whole layer, which contains muscle, touch relatively hard, the color is pink, reddish. 3. Bleeding and pain: hemorrhoids are easy to combine with bleeding, and in defecation will often appear pain, and prolapse bleeding is relatively small, generally does not cause pain. To fully diagnose hemorrhoids or prolapse, you should also go to the hospital in time for a detailed examination, diagnosed by a professional doctor, do not arbitrarily judge on your own to avoid delays in the condition.